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Abstract Book 2010 - CIMT Annual Meeting

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029 Brix | Immune monitoring<br />

Culturing PBMC in the presence of antigen results in a measurable<br />

expansion of memory T cells<br />

Liselotte Brix, Tina Jakobsen, and Henrik Pedersen<br />

Immudex, Copenhagen, Denmark<br />

70<br />

Sensitive and reliable monitoring of cellular immune<br />

responses is becoming increasingly important in<br />

cancer vaccine and immunotherapeutic development.<br />

Flow analysis using conventional fluorescent<br />

MHC multimers like Tetramers and Pentamers has<br />

made a great impact in this field enabling visualization,<br />

enumeration and phenotypic characterization<br />

of antigen-specific T-cells. However, shortcomings<br />

such as difficulties in detecting low-affinity interactions,<br />

e.g. tumor-specific T-cell responses, low<br />

reproducibility and reagent stability are still prominent<br />

problems.<br />

MHC Dextramer reagents are a new generation of<br />

fluorescent MHC multimers that solve some of those<br />

problems. Thus, we have used MHC Dextramers to<br />

detect low-affinity T cells (i.e. T cells carrying TCR<br />

with low affinity for the MHC-peptide complex).<br />

In contrast to Tetramers, the Dextramers allowed<br />

enumeration of T cells carrying TCRs with a Kd of<br />

> 250 µM. To our knowledge this is the first time<br />

that antigen-specific T cells with such low-affinity<br />

TCR have been detected with a fluorescent MHC<br />

multimer reagent.<br />

When staining T cells of higher affinity-TCR’s (5<br />

µM – 100 µM), Dextramers had much higher resolution<br />

than the corresponding Tetramers. Dextramers<br />

thus provide a more reliable means for identification<br />

of true positive antigen-specific T cells.<br />

The increased sensitivity and resolution of the<br />

Dextramers probably reflects the higher number of<br />

MHC-peptide complexes and fluorochromes, since<br />

the high number of MHC-peptide complexes increases<br />

their avidity for the specific T-cells, and the<br />

higher number of fluorochromes enhances staining<br />

intensity. As a result, Dextramers have higher sensitivity,<br />

higher staining intensity and higher signalto-noise<br />

ratio.<br />

The dextran backbone of the MHC Dextramer<br />

stabilizes the attached proteins. When analyzing<br />

the stability of the MHC Dextramers, a given<br />

blood sample could be stained reproducibly well<br />

using the same batch of a MHC Dextramer for<br />

more than 4 month. Likewise, different batches<br />

of MHC Dextramers provided similar frequencies<br />

of antigen-specific T cells with comparable staining<br />

intensities when staining the same sample.<br />

We also investigated the impact of freezing and<br />

thawing MHC Dextramers. Surprisingly, the MHC<br />

Dextramer reagent could be subjected to repeated<br />

freeze-thaw cycles without affecting the staining<br />

intensity, resolution or the number of positive cells<br />

detected.<br />

In summary, MHC Dextramers are sensitive, highly<br />

stable reagents that are suitable to minimize assayto-assay<br />

variation, and that are particularly useful<br />

reagents in the immune monitoring of cancer immunotherapy.

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